Objective: Hypoxic-ischemic encephalopathy (HIE) frequently leads to neurological complications, such as seizures and developmental disorders. In addition to these challenges, many infants with HIE experience multi-organ dysfunction, and HIE is a major cause of acute kidney injury (AKI) during the neonatal period. This study aimed to investigate the risk factors for AKI in neonates treated with therapeutic hypothermia (TH) for HIE. Methods: We retrospectively reviewed neonates who received TH for HIE at a single center between January 2015 and August 2024. AKI was defined according to the neonatal modified Kidney Disease Improving Global Outcome criteria. Initial blood gas analysis, seizures, severity of HIE, neurologic studies, and mortality were compared between infants with and without AKI. Results: Among 288 neonates with HIE, TH was performed on 60 neonates, of which 3 were ex cluded, resulting in a total of 57 neonates. A total of 25 patients (43.9%) developed AKI, of whom 10 had stage 1 AKI, 6 had stage 2 AKI, and 9 had stage 3 AKI. In stage 3 AKI, one patient (1.8%) needed renal replacement therapy. Initial pH (P=0.040) and base excess (BE) (P=0.008) were significantly lower in the AKI group compared to the non-AKI group. AKI patients had a significantly higher rate of severe HIE (P=0.018), convulsions (P=0.022), and mortality (P=0.017). In logistic regression analysis, low initial BE and the presence of convulsion were independently associated with an increased risk of AKI, with odds ratios of 1.16 and 3.95, respectively. Conclusion AKI remains common in neonates with HIE treated with TH. Low BE and convulsion were identified as independent risk factors for the development of AKI.

Objective: Hypoxic-ischemic encephalopathy (HIE) frequently leads to neurological complications, such as seizures and developmental disorders. In addition to these challenges, many infants with HIE experience multi-organ dysfunction, and HIE is a major cause of acute kidney injury (AKI) during the neonatal period. This study aimed to investigate the risk factors for AKI in neonates treated with therapeutic hypothermia (TH) for HIE. Methods: We retrospectively reviewed neonates who received TH for HIE at a single center between January 2015 and August 2024. AKI was defined according to the neonatal modified Kidney Disease Improving Global Outcome criteria. Initial blood gas analysis, seizures, severity of HIE, neurologic studies, and mortality were compared between infants with and without AKI. Results: Among 288 neonates with HIE, TH was performed on 60 neonates, of which 3 were ex cluded, resulting in a total of 57 neonates. A total of 25 patients (43.9%) developed AKI, of whom 10 had stage 1 AKI, 6 had stage 2 AKI, and 9 had stage 3 AKI. In stage 3 AKI, one patient (1.8%) needed renal replacement therapy. Initial pH (P=0.040) and base excess (BE) (P=0.008) were significantly lower in the AKI group compared to the non-AKI group. AKI patients had a significantly higher rate of severe HIE (P=0.018), convulsions (P=0.022), and mortality (P=0.017). In logistic regression analysis, low initial BE and the presence of convulsion were independently associated with an increased risk of AKI, with odds ratios of 1.16 and 3.95, respectively. Conclusion AKI remains common in neonates with HIE treated with TH. Low BE and convulsion were identified as independent risk factors for the development of AKI.

Objective: Hypoxic-ischemic encephalopathy (HIE) frequently leads to neurological complications, such as seizures and developmental disorders. In addition to these challenges, many infants with HIE experience multi-organ dysfunction, and HIE is a major cause of acute kidney injury (AKI) during the neonatal period. This study aimed to investigate the risk factors for AKI in neonates treated with therapeutic hypothermia (TH) for HIE. Methods: We retrospectively reviewed neonates who received TH for HIE at a single center between January 2015 and August 2024. AKI was defined according to the neonatal modified Kidney Disease Improving Global Outcome criteria. Initial blood gas analysis, seizures, severity of HIE, neurologic studies, and mortality were compared between infants with and without AKI. Results: Among 288 neonates with HIE, TH was performed on 60 neonates, of which 3 were ex cluded, resulting in a total of 57 neonates. A total of 25 patients (43.9%) developed AKI, of whom 10 had stage 1 AKI, 6 had stage 2 AKI, and 9 had stage 3 AKI. In stage 3 AKI, one patient (1.8%) needed renal replacement therapy. Initial pH (P=0.040) and base excess (BE) (P=0.008) were significantly lower in the AKI group compared to the non-AKI group. AKI patients had a significantly higher rate of severe HIE (P=0.018), convulsions (P=0.022), and mortality (P=0.017). In logistic regression analysis, low initial BE and the presence of convulsion were independently associated with an increased risk of AKI, with odds ratios of 1.16 and 3.95, respectively. Conclusion AKI remains common in neonates with HIE treated with TH. Low BE and convulsion were identified as independent risk factors for the development of AKI.

Objective: Hypoxic-ischemic encephalopathy (HIE) frequently leads to neurological complications, such as seizures and developmental disorders. In addition to these challenges, many infants with HIE experience multi-organ dysfunction, and HIE is a major cause of acute kidney injury (AKI) during the neonatal period. This study aimed to investigate the risk factors for AKI in neonates treated with therapeutic hypothermia (TH) for HIE. Methods: We retrospectively reviewed neonates who received TH for HIE at a single center between January 2015 and August 2024. AKI was defined according to the neonatal modified Kidney Disease Improving Global Outcome criteria. Initial blood gas analysis, seizures, severity of HIE, neurologic studies, and mortality were compared between infants with and without AKI. Results: Among 288 neonates with HIE, TH was performed on 60 neonates, of which 3 were ex cluded, resulting in a total of 57 neonates. A total of 25 patients (43.9%) developed AKI, of whom 10 had stage 1 AKI, 6 had stage 2 AKI, and 9 had stage 3 AKI. In stage 3 AKI, one patient (1.8%) needed renal replacement therapy. Initial pH (P=0.040) and base excess (BE) (P=0.008) were significantly lower in the AKI group compared to the non-AKI group. AKI patients had a significantly higher rate of severe HIE (P=0.018), convulsions (P=0.022), and mortality (P=0.017). In logistic regression analysis, low initial BE and the presence of convulsion were independently associated with an increased risk of AKI, with odds ratios of 1.16 and 3.95, respectively. Conclusion AKI remains common in neonates with HIE treated with TH. Low BE and convulsion were identified as independent risk factors for the development of AKI.

Objective: Hypoxic-ischemic encephalopathy (HIE) frequently leads to neurological complications, such as seizures and developmental disorders. In addition to these challenges, many infants with HIE experience multi-organ dysfunction, and HIE is a major cause of acute kidney injury (AKI) during the neonatal period. This study aimed to investigate the risk factors for AKI in neonates treated with therapeutic hypothermia (TH) for HIE. Methods: We retrospectively reviewed neonates who received TH for HIE at a single center between January 2015 and August 2024. AKI was defined according to the neonatal modified Kidney Disease Improving Global Outcome criteria. Initial blood gas analysis, seizures, severity of HIE, neurologic studies, and mortality were compared between infants with and without AKI. Results: Among 288 neonates with HIE, TH was performed on 60 neonates, of which 3 were ex cluded, resulting in a total of 57 neonates. A total of 25 patients (43.9%) developed AKI, of whom 10 had stage 1 AKI, 6 had stage 2 AKI, and 9 had stage 3 AKI. In stage 3 AKI, one patient (1.8%) needed renal replacement therapy. Initial pH (P=0.040) and base excess (BE) (P=0.008) were significantly lower in the AKI group compared to the non-AKI group. AKI patients had a significantly higher rate of severe HIE (P=0.018), convulsions (P=0.022), and mortality (P=0.017). In logistic regression analysis, low initial BE and the presence of convulsion were independently associated with an increased risk of AKI, with odds ratios of 1.16 and 3.95, respectively. Conclusion AKI remains common in neonates with HIE treated with TH. Low BE and convulsion were identified as independent risk factors for the development of AKI.

The purpose of this study was to examine the correlation between self-efficacy and self-care of hemodialysis patients. The subjects consisted of 140 hemodialysis patients who underwent hemodialysis at 2 university hospital. The data were collected by used the self-efficacy tool developed by Kim Ju Hyune(1995) and the self-care tool developed by literature review and indepth open openended questions to 10 patients. Also, the questionnaire in cluded phusiologic data which collected through review of the patients' charts. The statistical analysis was used the SPSS program for frequency, mean, t-test, ANOVA and Pearson correlation. The results were as follows: 1. The mean score for general self-efficacy of hemodialysis patients was 3.103(1-4point) and there were significant differences according to perceived health. The mean score for specific self-efficacy of hemodialysis patients was 3.113 (1-4point) and there were significant differences according to perceived health, side effects and complications which related hemodialysis. 2. The mean score for self-care of hemodialysis patients was 3.822(1-5point) and there were significant differences according to marital status and economic level. 3. The relationship between general self-efficacy and self-care was a positive correlation(P=.000). The relationship between specific self-efficacy and self-care was a positive correlation(P=.000). In conclusion, this study revealed the level of self-efficacy and self-care, and the positive correlation between self-efficacy and self-care on hemodialysis patients. Therefore, intervention is needer to promote self-efficacy for self-care of hemodialysis patients. Considering the vulnerable self-care area same as checking blood pressure and weight, fluid restriction, social adjustment, exercise and rest, further studies should develop self-efficacy promoting programs for self-care of hemodialysis patients.
Blood Pressure ; Humans ; Marital Status ; Surveys and Questionnaires ; Renal Dialysis* ; Self Care* ; Social Adjustment

PURPOSE: The purpose of this study was to identify whether the maternal-fetal attachment is related to choose the rooming-in of postpartum women. METHOD: This is a retrospective descriptive study. The data was collected from April 1 to May 31, 2001. Subjects who had NSVD were 68 mothers who opted the rooming-in and 98 mothers who did not choose the rooming-in at one hospital in Seoul, Korea. The research questionnaire consisted of 14 items on general characteristics, and 24 items on maternal fetal attachment developed by Cranley(1981). RESULT: 1. There was significant statistical difference in general characteristics between rooming-in and non rooming-in groups in prenatal class attendance, and husband attendance during the delivery. 2. There was significantly higher level of maternal fetal attachment score in the rooming-in group. 3. There was higher level of maternal fetal attachment score in the group which had participated in childbirth education than the group which didn't had participated. CONCLUSION: It could be concluded that the maternal fetal attachment is identified as a significant factor choosing the rooming in for postpartum women. Therefore it is needed to increase maternal fetal attachment of pregnant women before making decision for whether they choose the rooming-in or non-rooming in after delivery.
Female ; Humans ; Korea ; Mothers ; Postpartum Period* ; Pregnant Women ; Prenatal Education ; Surveys and Questionnaires ; Retrospective Studies ; Seoul ; Spouses

Esophageal granular cell tumor of is rare neoplesin, and 3 cases were reported in Korea so far. We report a case of esophageal granular cell tumor in a 28 year old man. The patient was a 28 year old man who visited this hospital because of upper abdominal pain, acid belching and weight loss. A small nodule, 5 mm in diameter, was found in mid esophagus on esophagoscopy. This nodule was proved to be a granular cell tumor.
Male ; Humans

This study was undertaken to identify medical staffs perception about nutrition care and dietitian's role in hospitals. Questionnaires were sent to 874 medical staffa at 50 general hospials size over 100 beds, located in Seoul and Pusan, A total of 649(74.3%) of medical staffs returned questionnaries from 47 general hospitals. The results of this study can be summarized as follows. 1. 89.6% if educak stffs responded that they required the help of the dietitian when the patients needed the nutrition acre and also most of them(87.0%) held positive perceptions abuot the necessity of the nutrition support team. 2. When the medical staffs prescribed the special diet of the patients' nutrition care, 90.0% of them preferred that diet would be order after consulting with dietitian. 3. Half of the medical staffs(52.1%) responded that they were scarced of the knowledge about the clinical mutrition and then 66.4% of them recognized the need of nutrition education at the medical school. 4. The medical staffs responded that dietitian must have the knowledge abuot food, nutrition and medical science(52.5%) and the competence of discussion with medical staffs about nutrition the patients(30.8%).
Busan ; Diet ; Education ; Hospitals, General ; Humans ; Medical Staff ; Mental Competency ; Nutritionists ; Surveys and Questionnaires ; Schools, Medical ; Seoul

PURPOSE: This study aimed at not only suggest some ideas useful in planning and doing the safety education in the elementary schools in the near future putting into test the safety education proposal which has been developed by researchers in accordance with the national 7st education courses but also improve health of the children through taking right safety knowledge and sound safety attitude. METHOD: For this study 140 student are selected from 3-5th grade of the elementary school in Kyoungki-Do and Kwangwon-Do and have been taught the safety education during 10weeks, 10times. RESULT: 1) After the safety education, knowledge about the injury prevention of the children show to be significantly different from that they had before(t=-9.156, p=.000). 2) In order to look into any effect of the attitude about injury prevention after the safety education there were significant difference(t=-3.755, p=.000).CONCLUSION: As the findings of the study indicating that safety education expand the correct knowledge about injury prevention and have more affirmative and sound attitude about injury prevention. So it may be concluded that, safety education have the positive effect both knowledge and attitude about injury prevention among elementary school children.
Child* ; Education* ; Gangwon-do ; Humans ; Child Health